UltimateCare Combo

Generic Name: Prenatal Multivitamin without Vitamin A with Minerals, Iron, Folic Acid, and Docusate Sodium (pree-NATE-al MUL-tye-VYE-ta-mins/VYE-ta-min A/MIN-er-als/EYE-urn/FOE-lik AS-id/DOK-ue-sate SOE-dee-um/oh-MAY-ga 3 FA-tee AS-ids)Brand Name: Examples include PrimaCare Advantage and UltimateCare Combo

Accidental overdose of products that contain iron is a leading cause of fatal poisoning in children younger than 6 years old. Keep this and all medicines out of the reach of children. In case of accidental ingestion, call your local poison control center or your doctor at once.

UltimateCare Combo is used for:

Treating or preventing a lack of vitamins or minerals before, during, and after pregnancy and while breast-feeding. It may also be used for other conditions as determined by your doctor.

UltimateCare Combo is a vitamin, mineral, iron, folic acid, omega-3 fatty acids, and stool softener combination. It works by providing vitamins and minerals to the body to help meet nutritional requirements. The stool softener helps prevent constipation that may occur with iron products.

Do NOT use UltimateCare Combo if:

  • you are allergic to any ingredient in UltimateCare Combo , including fish, fish oil, or soy
  • you have hemochromatosis (a disorder of iron metabolism)

Contact your doctor or health care provider right away if any of these apply to you.

Before using UltimateCare Combo :

Some medical conditions may interact with UltimateCare Combo . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have stomach or intestinal problems (eg, colitis, Crohn disease, diverticulitis), pernicious anemia or other blood problems (eg, anemia, porphyria), bleeding problems (eg, hemophilia), peptic ulcer, or kidney stones
  • if you have had multiple blood transfusions

Some MEDICINES MAY INTERACT with UltimateCare Combo . Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Oral anticoagulants (eg, warfarin) because the risk of bleeding may be increased by UltimateCare Combo
  • Angiotensin-converting enzyme (ACE) inhibitors (eg, captopril), eplerenone, or potassium-sparing diuretics because high blood potassium levels may be increased
  • Aluminum salts or fluorouracil because the risk of their side effects may be increased by UltimateCare Combo
  • Hydantoins (eg, phenytoin), mycophenolate, or penicillamine because their effectiveness may be decreased by UltimateCare Combo

This may not be a complete list of all interactions that may occur. Ask your health care provider if UltimateCare Combo may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use UltimateCare Combo :

Use UltimateCare Combo as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take UltimateCare Combo by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
  • Take UltimateCare Combo by mouth with a full glass of water (8 oz/240 mL).
  • Do not take an antacid within 1 hour before or 2 hours after you take UltimateCare Combo .
  • Avoid taking UltimateCare Combo with dairy products; they may interfere with the absorption of the iron in UltimateCare Combo .
  • Many medicines (eg, used for infection, blood pressure, low blood platelets, osteoporosis, thyroid problems) should not be taken at the same time as UltimateCare Combo ; their effectiveness may be decreased. Ask your doctor or pharmacist if your dose of UltimateCare Combo should be separated from your dose of any of your other medicines.
  • If you miss a dose of UltimateCare Combo , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use UltimateCare Combo .

Important safety information:

  • UltimateCare Combo may discolor the stools. This is normal and not a cause for concern.
  • Some brands of UltimateCare Combo may contain fish oil or soy. If you have had an allergic reaction to fish, fish oil, or soy, ask your pharmacist if your brand contains fish oil or soy.
  • UltimateCare Combo has iron in it. Iron overdose is a leading cause of fatal poisoning in CHILDREN younger than 6 years old. In case of an overdose, call a doctor or poison control center right away.
  • PREGNANCY and BREAST-FEEDING: UltimateCare Combo is intended for use during pregnancy and breast-feeding. If you are or will be breast-feeding while you use UltimateCare Combo , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of UltimateCare Combo :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; dark or discolored stools; diarrhea; nausea; stomach upset; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry stools; blood or streaks of blood in the stools; stomach pain or cramping.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include black, tarry stools; chest pain; lack of feeling alert; loss of balance; seizure; severe nausea, vomiting, diarrhea, or stomach pain; shortness of breath; sluggishness; trouble breathing; unusual tiredness or weakness; unusually pale skin; weak pulse.

Proper storage of UltimateCare Combo :

Store UltimateCare Combo at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep UltimateCare Combo out of the reach of children and away from pets.

General information:

  • If you have any questions about UltimateCare Combo , please talk with your doctor, pharmacist, or other health care provider.
  • UltimateCare Combo is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about UltimateCare Combo . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.